Regulatory Science For Innovation

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Regulatory Science For Innovation Fergal Donnelly European Commission Directorate-General for Research & Innovation Directorate 'Industrial Technologies' Unit 'Advanced Materials and Nanotechnology' The Future of (Bio)pharmaceutical Manufacturing 28 February 2017 Views expressed are personal and may not be understood or quoted as being made on behalf of or reflecting the position of the European Commission or one of its committees or working parties.

Paradigm shifts in Healthcare from acute medical interventions towards preventive strategies from the use of blockbuster one-size-fits-all towards the personalised approach from supportive treatments aiming towards a complete cure increased patient empowerment

Innovation challenges : Co-development with an existing therapy Improved delivery of an existing therapy

Medical Device, IT & Digital Technologies Next Generation Technology Opportunities Biotechnology (ATMP, etc) Pharmaceuticals

Role of the Regulator To safeguard the public To facilitate innovation

Technology Business Manufacturing Technology Development Intellectual Property Industry Placement Business Plan Development Financial Support Market & Clinical Assessment Regulatory Affairs Product Development Process

Regulatory Science The acquisition and combination of scientific, technical and socio-economic data in a way to enable appropriate decision-taking regarding the marketing and use of innovative and cost-effective healthcare interventions by patients.

Stakeholders along the Innovation Chain Regulatory Science Hospitals, patients Medtech companies Marketing Buyers Patients Basic research HTA agencies, health insurances EMA, national agencies CMO, OEM Technology development CE marking Clinical validation RTOs Universities Manufacturing Regulatory approval Notified Bodies Hospitals, CROs HTA, reimbursement

I. Technology Readiness Levels Value-added milestones

TRL for Healthcare Level Definition Explanation 1 2 3 4 5 6 7 8 9 Basic Principles Observed and Reported in the Context of a Capability Shortfall Technology Concept and/or Application Formulated Analytical and Experimental Critical Function and/or Characteristic Proof of Concept Component and/or Breadboard Validation in Laboratory/Field Environment Component and/or Breadboard Validation in a Relevant (Operating) Environment System/Sub-System Model or Prototype Demonstration in a Realistic (Operating) Environment or Context System Prototype Demonstration in an Operational Environment or Context (e.g., Exercise) Actual System Completed and Qualified through Test and Demonstration Actual System Operationally Proven through Successful Mission Operations Potential scientific application to defined problems is articulated. Hypothesis(es) generated. Research plans and/or protocols developed, peer reviewed, and approved. Basic research, data collection, and analysis. First hypotheses tested, alternative concepts explored. Initial characterisation of candidates in preclinical studies. Non GxP laboratory research to refine hypothesis and identify relevant parametric data required for technological assessment in a rigorous (worst case) experimental design Intense period of nonclinical and pre-clinical GxP research studies involving parametric data collection and analysis in well-defined systems. Clinical Performance Studies to demonstrate safety in a small number of human subjects under strictly controlled conditions Clinical Performance Studies to demonstrate effectiveness and safety with a fully operational prototype in an operational environment Clinical Performance Studies to evaluate effectiveness and safety to evaluate overall risk-benefit ratio of the device and provide adequate basis for product labelling Post Marketing Studies

II.Education and Training Interdisciplinarity : science along with ethics, business administration, law etc. Mutual recognition of degrees, diplomas Practical hands-on training schemes in industrial settings

III.Regulatory Incentives Data certification Advice for SMEs